Organization Active NPI

Alliance Chiropractic & Wellness Center, LLC

  • Health Service Clinic/Center
  • Anchorage, AK
National Provider Identifier
1891951653
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
918089 Issued in AK
Legal business name
ALLIANCE CHIROPRACTIC & WELLNESS CENTER, LLC
Practice address
4316 Kingston Dr
Anchorage, AK 99504-4445
Phone
(907) 337-6770
Fax
(907) 338-6031
NPI assigned
Jul 31, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael T Underwood, BBA
Title
Technician
Phone
(907) 696-1654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 918089 AK Primary

Addresses

Primary practice location

4316 Kingston Dr
Anchorage, AK 99504-4445

Mailing address

PO Box 212255
Anchorage, AK 99521-2255
Phone (907) 337-6770

Other identifiers 2

IdentifierTypeStateIssuer
1558434423OtherPROVIDER NPI
1720291149OtherPROVIDER NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120119000243 AK Part B Supplier - Clinic/Group Practice 4587831375 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1891951653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212255",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995212255",
            "telephone_number": "907-337-6770",
            "fax_number": "907-338-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 KINGSTON DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044445",
            "telephone_number": "907-337-6770",
            "fax_number": "907-338-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "TECHNICIAN",
        "authorized_official_telephone_number": "907-696-1654",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AK",
            "license": "918089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1558434423",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1720291149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.